Evidence map›Paper›PMID 38925621›Full record

SynthesisCancer medicine2024

Meta-analysis on axillary lymph node metastasis rate in ductal carcinoma in situ with microinvasion.

Xiongxiong Li, Can Zhou, Ting Xu, Yu Ren, Meng Li, Jin Shang

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Complete disappearance of ductal carcinomaAnnals of medicine and surgery (2012) · 2026
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xiongxiong LiDepartment of Breast Surgery, Xi'an People's Hospital (Xi'an No. 4 Hospital), Xi'an, China.ORCID 0000-0002-7080-8895
Can ZhouDepartment of Breast Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.ORCID 0000-0003-3885-9702
Ting XuDepartment of Breast Surgery, Xi'an People's Hospital (Xi'an No. 4 Hospital), Xi'an, China.
Yu RenDepartment of Breast Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Meng LiDepartment of Breast Surgery, Xi'an People's Hospital (Xi'an No. 4 Hospital), Xi'an, China.
Jin ShangDepartment of Breast Surgery, Xi'an People's Hospital (Xi'an No. 4 Hospital), Xi'an, China.ORCID 0009-0009-7897-6744

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo address the question of axillary lymph node staging in ductal carcinoma in situ with microinvasion (DCIS-MI), we retrospectively evaluated axillary lymph nodes metastasis (ALNM) rate in a cohort of postsurgical DCIS-MI patients. By analyzing these data, we aimed to generate clinically relevant insights to inform treatment decision-making for this patient population.

methodsA systematic search was conducted on PubMed, Web of Science, Embase, The Cochrane Library, CNKI, Wanfang Database, Wipe, and China Biomedical Literature Database to identify relevant publications in any language. All the analyses were performed using Stata 16.0 software.

resultsAmong the 28 studies involving 8279 patients, the pooled analysis revealed an ALNM rate of 8% (95% CI, 7% to 10%) in patients with DCIS-MI. Furthermore, the rates of axillary lymph node macrometastasis, micrometastasis, and ITC in patients with DCIS-MI were 2% (95% CI, 2% to 3%), 3% (95% CI, 2% to 4%), and 2% (95% CI, 1% to 3%), respectively. Moreover, 13 studies investigated the non-sentinel lymph node (Non-SLN) metastasis rate, encompassing a total of 1236 DCIS-MI cases. The pooled analysis identified a Non-SLN metastasis rate of 33% (95% CI, 14% to 55%) in patients with DCIS-MI.

conclusionThe SLNB for patients with DCIS-MI is justifiable and could provide a novel therapeutic basis for systemic treatment decisions.

Indexed as

AxillaBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingLymphatic MetastasisLymph NodesFemaleHumansNeoplasm InvasivenessNeoplasm Micrometastasisbreast cancerductal carcinoma in situ with microinvasionmeta‐analysisrate of axillary lymph nodes

Identifiers

PMID38925621
PMCPMC11199912

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.